Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2003-3-19
pubmed:abstractText
The mode of presentation of celiac disease in the United States is not known. We investigated the demographic and clinical features of 227 patients with biopsy-proven celiac disease and determined if there had been changes over time. The patients had been entered into a database; those seen prior to 1990 were retrospectively entered while those seen subsequently were prospectively entered. A "symptomatic" presentation described the "classical" presentation of celiac disease with prominent gastrointestinal symptoms: diarrhea and weight loss. Females were younger and had a longer duration of symptoms compared to males. The modes of presentation were symptomatic (62%), anemia or reduced bone density (15%), screening first-degree relatives (13%), and incidental diagnosis at endoscopy (8%). We compared those diagnosed before and after 1993 (when serologic testing was first used), and noted a reduction in those presenting with diarrhea, 73% vs 43% (P = 0.0001) and a reduction in the duration of symptoms, from 9.0 +/- 1.1 years to 4.4 +/- 0.6 years (P < 0001). In conclusion, the percentage of celiac disease patients presenting with diarrhea has decreased, probably related to the more widespread use of serologic testing for celiac disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0163-2116
pubmed:author
pubmed:issnType
Print
pubmed:volume
48
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
395-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12643621-Adolescent, pubmed-meshheading:12643621-Adult, pubmed-meshheading:12643621-Age Distribution, pubmed-meshheading:12643621-Aged, pubmed-meshheading:12643621-Aged, 80 and over, pubmed-meshheading:12643621-Biopsy, Needle, pubmed-meshheading:12643621-Celiac Disease, pubmed-meshheading:12643621-Cohort Studies, pubmed-meshheading:12643621-Diarrhea, pubmed-meshheading:12643621-Disease Progression, pubmed-meshheading:12643621-Female, pubmed-meshheading:12643621-Follow-Up Studies, pubmed-meshheading:12643621-Humans, pubmed-meshheading:12643621-Incidence, pubmed-meshheading:12643621-Male, pubmed-meshheading:12643621-Middle Aged, pubmed-meshheading:12643621-Probability, pubmed-meshheading:12643621-Retrospective Studies, pubmed-meshheading:12643621-Risk Factors, pubmed-meshheading:12643621-Severity of Illness Index, pubmed-meshheading:12643621-Sex Distribution, pubmed-meshheading:12643621-Time Factors, pubmed-meshheading:12643621-Weight Loss
pubmed:year
2003
pubmed:articleTitle
Changing presentation of adult celiac disease.
pubmed:affiliation
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA.
pubmed:publicationType
Journal Article, Comparative Study